Active NPI
Lisa Marie Schulte, ATC/LAT
- Sports Medicine (Internal Medicine) Physician
- Kennesaw, GA
National Provider Identifier
1346512357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- AT001898
- Practice address
- 1000 Chastain Rd NW
Mailbox 0201
Kennesaw, GA 30144-5588 - Phone
- (770) 423-6487
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | AT001898 | GA | Primary |
Addresses
Primary practice location
1000 Chastain Rd NW
Mailbox 0201
Kennesaw, GA 30144-5588
Mailing address
144 Ponce de Leon Ave NE
Apt. 1005
Atlanta, GA 30308-4121
Phone (803) 493-6475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001898 | GA | MD | Sports Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1346512357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 PONCE DE LEON AVE NE",
"address_2": "APT. 1005",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303084121",
"telephone_number": "803-493-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CHASTAIN RD NW",
"address_2": "MAILBOX 0201",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445588",
"telephone_number": "770-423-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTE",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "ATC/LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "GA",
"license": "AT001898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.